Climate Change: Health

Baroness Vere of Norbiton Excerpts

Thursday 21st December 2017 Lords Chamber

[Baroness Vere of Norbiton (Con)]

My Lords, I am very grateful both to the noble Baroness, Lady Walmsley, for securing this important debate today, and to all noble Lords for their contributions. I would pick out in particular the wise words from the noble and learned Lord, Lord Neuberger. It was a fine maiden speech and I feel that he has set the bar very high.

Climate change is one of the most urgent and pressing challenges that we face today, and it demands an urgent and strong response. It is clear from the evidence and from the discussion today that climate change is not just a threat to the environment; it is also a threat to global health. By taking action, we can protect our natural environment and safeguard human health. An overwhelming majority of scientists agree that climate change is happening, that it is being driven by human activity and that we must act urgently to reduce greenhouse gas emissions if we are to avoid increasingly dangerous impacts in future.

There is a large body of evidence showing that climate change will directly influence human health. This evidence has been laid out in the Lancet Countdown report, which has been referred to extensively today, as well as the latest assessment report of the Intergovernmental Panel on Climate Change. I will not repeat the evidence here as time is short.

The case for strong global action to tackle climate change has never been clearer. The UK was the first country to introduce legally binding emissions reduction targets through the Climate Change Act, which set a target of at least an 80% reduction in greenhouse gas emissions by 2050 from 1990 levels. However, we cannot act alone. Only through collective international action can we succeed in keeping temperature rises within manageable levels. The UK played a leading role in securing the agreement of 195 countries to sign up to the historic Paris climate change agreement. This is an unprecedented multilateral partnership, demonstrating a real commitment and collective responsibility for our planet. The noble Baroness, Lady Thornton, asked about our conversations with President Trump at the current time. The UK is aligned with European partners; we did that at the G7 Environment Ministers meeting and the EU foreign affairs and environment affairs councils in June. We welcome the continued support that the Paris agreement has received from other countries and subnational and non-state actors in the US and around the world, and we will continue to work with the US to encourage it to show the leadership that it has done in the past on reducing carbon emissions.

In 2018 we will continue our efforts to drive action by others. We will continue to play a major role in UN climate negotiations, and climate change will be a major focus of discussion and further action at next year’s Commonwealth summit—the largest Heads of Government meeting ever hosted in the UK.

As well as supporting greater action on climate change mitigation, the Government are also supporting countries to adapt to and manage the consequences of climate change. The noble Baroness, Lady Walmsley, and the noble Lord, Lord Hunt, mentioned helping populations displaced by disastrous weather events. DfID’s team of dedicated humanitarian logisticians is often first on the ground, providing immediate lifesaving action through the rapid response facility. Government support following severe earthquakes and flooding includes deploying our UK international search and rescue team and the emergency medical team.

The noble Baroness, Lady Young, and the noble and learned Lord, Lord Neuberger, in his outstanding speech, referred to migration as a consequence of climate change. The UK recognises the role that climate change plays in exacerbating the key drivers of migration: conflict, instability and the loss of livelihoods. The UK is supporting greater co-ordination and efforts to strengthen resilience and adaptive capacity to climate-related hazards and natural disasters in all countries. For example, DfID has invested over £1.8 billion in the climate investment funds, including the Pilot Program for Climate Resilience, the world’s largest active adaptation fund. As my right honourable friend the Prime Minister said:

“There is also a clear moral imperative for developed economies such as the UK to help those around the world who stand to lose most from the consequences of man-made climate change”.


Recent extreme weather events have devastated the lives of many across the world, and the impacts of climate change do and will infringe on many more people’s ability to enjoy the highest attainable standard of physical and mental health—which, as noted by the noble Baroness, Lady Thornton, is a human right. DfID’s efforts to improve health outcomes have seen health systems in developing countries become stronger. Deaths from malaria have halved while polio is on the verge of being eradicated.

In parallel, UK-backed climate projects are tackling the root causes of instability and poor health, making the world safer, healthier and more prosperous. The UK is working closely with countries in the Caribbean, Asia and Africa to build resilience against natural disasters and climate extremes, and we will provide an additional £53 million of funding to extend this work. Vulnerability will be a key priority for the UK as one of the strands of the Commonwealth summit in April 2018. DfID has already supported 34 million poor farmers and low-income workers vulnerable to drought or living along affected coastlines, with more reliable water supplies and insurance in case their crops fail.

Programmes on the development and use of cleaner energy have helped 12 million people to access clean energy while reducing or avoiding emissions that cause climate change. Government funding has installed more than 400 megawatts of clean energy capacity. The noble Lord, Lord Donoughue—who, disappointingly, is not in his place—noted that DfID funds would be better focused on economic growth than on renewable energy, but the two are not mutually exclusive. Renewable energy provides reliable energy for business, providing economic growth in the developing world.

I was very taken by the comments of the right reverend Prelate the Bishop of Derby, and I would like time to go back and reflect on them. He talked about the values that drive our response to climate change and the lifestyle choices that the Government may encourage. He also briefly mentioned modern slavery, which can be a consequence of climate change. My right honourable friend the Prime Minister has called modern slavery one of the greatest human rights challenges of our times, and has said that the UK will take a leading global role in ending this scourge. DfID is currently spending £45 million on modern slavery programmes, including £10.5 million through the Work in Freedom programme in south-east Asia.

The UK is not immune to the negative health implications of climate change. The Government use evidence such as the Lancet Countdown report and the IPCC reports to assess the risks of climate change to national public health. As the noble Baroness, Lady Young, and many others mentioned, the adaptation sub-committee of the UK Committee on Climate Change advises the Government on adapting to climate change and assesses how well the UK is preparing for its effects. Every five years the Government publish the UK climate change risk assessment, which sets out the main priorities for adaptation in the UK. The latest risk assessment concluded that the priorities for action in the next five years from a health perspective are the risks to health and well-being from high temperatures, flooding, drought and the disruption of health services and care delivery by extreme weather. Indirect impacts in the UK also include the threat of new diseases—for example, those carried by non-native species of mosquito—poor air quality, changes to food and water security and population displacement.

The UK is a leader in facing up to the challenge of climate change. That is why the Prime Minister joined world leaders in France last week to mark the two-year anniversary of the Paris agreement. There, she reaffirmed the UK’s commitment to climate action while setting out our leadership on challenges including phasing out coal and zero-emission vehicles. We recognise that actions to cut our emissions can be a win/win. We can cut consumer bills, drive economic growth, create high-value jobs and help to improve our quality of life, including our health. We have shown the world that you can cut emissions while creating wealth: between 1990 and 2016 the UK reduced its emissions by 42% while growing the economy by two-thirds. We are continuing that legacy: our recently published clean growth strategy sets out our ambitious proposals for continuing progress through the 2020s. Meanwhile, we have also placed clean growth at the heart of our modern industrial strategy, which aims to make our country one of the best places in the world to develop and sell clean technologies.

The Government are taking steps to ensure that the UK public are protected against the climate change risks to health. For example, a heatwave plan has been published annually since 2004 after the severe heatwave of 2003. This plan raises awareness of the dangers of severe heat and describes actions to reduce harm for individuals and services such as the NHS and social care.

The Government also produce a cold weather plan to raise public awareness and prepare for the effects of winter weather on people’s health. It also aims to support NHS providers to consider the internal environment where care is given and how winter weather will affect buildings, infrastructure and services.

The Department of Health works with NHS England, Public Health England, the Sustainable Development Unit and the Environment Agency to plan and maintain healthcare facilities that are resilient to flooding and extreme temperatures.

The noble Baroness, Lady Walmsley, noted the apparent absence in the life sciences strategy, which is not related to health. All these disciplines will be brought together better to understand the health impacts of climate change as part of the national adaptation programme. The national adaptation programme was mentioned by the noble Lord, Lord Krebs, but, sadly, not in the most glowing terms. I commit to him that we will try harder. It contains a number of objectives to address the risks of climate change to the UK.

The noble Baroness, Lady Walmsley, the noble Lord, Lord Krebs, and my noble friend Lady Redfern all raised the issue of flooding, the associated psychological trauma and flooding resilience within buildings. The Government are taking action to improve our protection from and resilience to flooding. We are spending £2.3 billion between 2015 and 2021 to strengthen the country’s flood and coastal defences, better protecting 300,000 homes.

The magnitude of events in recent years means that it is important to reassure ourselves that we understand the scale of the risk and to take more immediate steps to improve resilience. The Government set up the National Flood Resilience Review last year. It looked at our flooding risk from extreme weather over the next 10 years and assessed how we can be better protected. It also provided recommendations on how we respond to flood incidents, including through new temporary flood defences.

The National Planning Policy Framework is clear that inappropriate development in areas at risk of flooding should be avoided by directing development away from those areas. Where development is necessary in flood risk areas and where there are no suitable sites available in areas with a lower probability of flooding, it should be made safe, resilient and not increase flood risk elsewhere.

Other government priorities also have a positive impact on climate change. Take, for example, healthy eating, as mentioned by the noble Baroness, Lady Walmsley. The Department of Health launched Childhood Obesity: A Plan for Action in August 2016. This world-leading plan will help children and families to make healthier choices and be more active. The Eatwell Guide aims to assist the population in choosing a varied and balanced diet to meet latest dietary advice. Choosing alternative protein sources such as beans and pulses reduces meat consumption, which in turn reduces greenhouse gas emissions.

Another question raised by several noble Lords, including the noble Baroness, Lady Walmsley, and the right reverend Prelate the Bishop of Derby, is how the Government are getting on the front foot to promote change in society. For example, Stoptober has driven almost 1.5 million quit attempts since it began in 2012. We continually refine the campaign based on evaluation and share learning across government for departments to incorporate into their work as appropriate. The Government are applying lessons from one public health campaign, such as this one, to messaging in other areas such as air pollution. The Department of Health and Public Health England are in discussion with Defra on how best to support the goals—

[Lord Hunt of Chesterton]

The Minister may not know this, but what about tobacco? It is quite an important source of disease for the National Health Service; is it being considered?

[Baroness Vere of Norbiton]

I thank the noble Lord for his intervention. I will write to him, as I am not entirely sure that the direct link to climate change is wholly valid. It is indeed a cause of death, but perhaps not from climate change.

The Department of Health and Public Health England is in discussion with Defra on how best to support the goals of the clean air strategy with effective public health messaging on air pollution.

The noble Baroness, Lady Walmsley, also mentioned fossil fuels and carbon pricing. The clean growth strategy underlined the Government’s commitment to carbon pricing as a tool to reduce carbon dioxide emissions. At the Autumn Budget 2017, the Government announced that we are confident that the total carbon price, currently created by a combination of the EU Emissions Trading Scheme and carbon price support, is set at the right level, and will continue to target a similar level until unabated coal is no longer used. This will deliver a stable carbon price while limiting cost on business. This stable price will provide certainty to the electricity sector as well as limiting costs to business.

The noble Baroness also mentioned diesel vehicles, and many noble Lords mentioned air quality and air pollution. The Government committed to ensuring that almost every car and van is a zero-emission vehicle by 2050, as stated in the Conservative Party manifesto 2017 and in line with meeting our targets under the Climate Change Act.

This means that we will end the sale of new conventional petrol and diesel cars and vans by 2040. We are clear that meeting the 2040 commitment should be industry-led, with the Government monitoring developments closely. Against a rapidly evolving international context, we will seek to maintain ambitious targets and our leadership position, and intervene firmly if not enough progress is being made.

On the health impact of air quality, Public Health England has been asked by the Government to review the evidence of effective interventions and provide practical recommendations for any action which will significantly reduce harm from air pollution. These recommendations will be published in 2018 and will be stratified by their health and economic impact.

Several noble Lords mentioned trees and woods, specifically the noble Baroness, Lady Young. I am struck by the image of spade and wellies from my noble friend Lady Redfern. The forestry sector plays an important role in adapting to ongoing climate change, reducing the net release of greenhouse gases to minimise future climate change and, as mentioned by my noble friend, helping to mitigate flood risk.

We will continue to work closely with a wide range of key stakeholders, including the forestry sector. Furthermore, leaving the common agricultural policy will give us more opportunity directly to address the impact of climate change. Meanwhile, woodland expansion is a policy objective of all four countries of the United Kingdom—in part, to deliver greenhouse gas abatement through sequestration in growing biomass.

Turning to the point raised by the noble Baroness, Lady Young, about the 25-year environment plan, it sets out how the Government will deliver our ambitious goal to be the first generation to leave the environment in a better state than we inherited. The plan will use insight of natural capital thinking to develop an approach which helps to guide us. The plan will be with us shortly.

Turning to comments by the noble Lord, Lord Teverson, the best long-term solution to tackle fuel poverty is to improve home energy efficiency. That is why 70% of the £640 million per year energy company obligation is focused on low-income households. We intend to consult on increasing this to 100% from 2018. We also recognise that low-income households need immediate support each winter. We have retained the warm home discount, which provides more than 2 million vulnerable households with £140 rebate off their energy bill each winter.

As for why the Government have not replaced zero-carbon homes, the clean growth strategy has an ambitious set of proposals on homes, and we have commissioned an independent review of building regulations and fire safety, which is being led by Dame Judith Hackitt. The review will report shortly.

I fear that I have far more information here than I will be able to impart to your Lordships in such limited time. I hope that you will bear with me if I feel a letter coming on; it will be with you in the new year.

Briefly, addressing the concern of the noble Baroness, Lady Walmsley, about the response to the noble Lord, Lord Oxburgh, I believe that my noble friend Lord Henley stated in the House this week that he will be writing to him very shortly.

This has been a fascinating and wide-ranging debate. Once again, I thank all noble Lords for contributing. The Lancet Countdown report acknowledges that in recent years, action to respond to the challenge of climate change has accelerated, with clear and unprecedented opportunity for the public. It comments that the health co-benefits of meeting commitments under the Paris agreement are potentially immense. Further research involving the Met Office shows that by reducing greenhouse gas emissions, we will also reduce the number of mortalities from air pollution and poor air quality and avoid up to 90% of the potential worldwide impact of heatwaves.

The UK is leading the world on global action, but the climate challenge will require ambitious co-operation from all Governments, organisations and individuals across all sectors.